burning, itching skin

My 17 year old daughter with her 2 week old ileostomy has burning itching skin under the barrier. Just changed her pouch and the skin around the stoma looks fine but the skin under the outer edges of the barrier is red with bumps. Used stomahesive powder and skin barrier but she still complains of terrible itching. Ostomy nurse at surgeons office said not to use any skin preps or powders. Her suggestion is to use plain water and a little paste and just stick the pouch on. What have others found to work?
Scootchski

It does sound like her skin doesn't like that wafer. A lot of people find that one wafer or another doesn't agree w/their skin (and it's not the same for everyone, sigh). You can get samples -- if you order from a big supply place (e.g. edgepark) they can send a bunch or you can call the manufacturers (UC wife named the big three) and they will send you samples. Your stoma nurse might also be able to give you some others to try.

One tip I learned from this list is to have her cut little pieces of each wafer and stick them on her stomach for a few days, away from the stoma. That way you can see which ones might be irritating, without compromising the skin around the stoma any more.

It is possible that the skin prep is the problem too, as some people react to that. You can also test that away from the stoma, there are different brands to try. I usually use a little skin prep on irritated areas away from the stoma -- too much makes the pouch not stick as well (although some brands are supposed to make it stick better). Near the stoma, I wear and eakin seal, and that helps a lot with any irritation there.

If the irritation were closer to the stoma, then it might be from the pouch not fitting right, but if it's near the edges, it's probably a reaction to the adhesive. What brand of pouch are you using?

Hope it clears up soon. This is all very overwhelming at first, but people do figure it out....

     I use Coloplast Sensura one piece bags.  Once in awhile I will have some irritation.  In the beginning, while her skin is becoming adapted, she will suffer with this.  This is what worked best for me....as I peel off the old appliance, I wipe with a Reliamed adhesive remover wipe.  I then use a clean cloth dampened with warm water and a bit of antibacteria soap to wash skin around stoma.  Rinse with warm water and dry skin thoroughly.  I then use stoma powder, leave on a minute or so and wipe with tissue.  Then place the appliance over stoma.

     If the skin is greatly irritated, make sure you have an ostomy nurse take a look at it.  Sometimes people develop a fungal infection.  The skin will improve over time.

     Otherwise, how is your daughter feeling?  I feel so bad for these young people who are going through this tough time.  God bless.